GOOD SAMARITAN VILLAGE LLLP NPI 1114407574

NPI Information

  • NPI: 1114407574
  • Provider Name: GOOD SAMARITAN VILLAGE LLLP
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Former Legal Business Name: GOOD SAMARITAN VILLAGE LLLP
  • Address: 26442 WHIRLAWAY TER
    WESLEY CHAPEL, FL
    ZIP 33544
  • Phone: (860) 794-6457

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NPI Details

GOOD SAMARITAN VILLAGE LLLP is a developmental disabilities clinic center in Wesley Chapel, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). GOOD SAMARITAN VILLAGE LLLP NPI is 1114407574. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Good Samaritan Village Lllp.

The provider's business location address is:

26442 WHIRLAWAY TER
WESLEY CHAPEL, FL
ZIP 33544-552
Phone: (860) 794-6457

The provider's authorized official is Derrick Appiah .
The authorized official title is Member and has the following contact phone number (203) 558-4189.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 8/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental Disabilities714547FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1714547MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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